2024 AOSSM/NHL Hockey Summit - NO CME-Checking Concussions

Video Transcription

Video Summary

The video discussion focused on concussions, specifically in the context of contact sports like hockey and football. Key points included the relationship between concussions and conditions like ADHD and learning disabilities, sensitivity around disclosing concussions comparable to mental health issues, and improvements in concussion recognition as evidenced by extensive time allocated for discussions in professional conferences.<br /><br />Dr. Ruben Etchemendia, a key speaker, shared insights on the SCAT-6 (Sport Concussion Assessment Tool 6). He detailed its development, emphasizing the importance of systematic literature reviews in shaping consensus statements. The SCAT-6 aims to provide a standardized evaluation rather than a diagnostic tool, focusing on symptom domains such as cognition, balance, ocular, motor, cervical, vestibular, and neurological examination. Key changes from SCAT-5 to SCAT-6 include enhanced red flag sections, refined memory tasks, and revisions in coordination and balance assessments.<br /><br />Dr. Kim Harmon discussed concussion prevention and the importance of exercise post-concussion. She presented findings on the efficacy (or lack thereof) of equipment like face shields and mouthguards in preventing concussions, the contentious role of jugular venous compression devices, and the benefits of certain training strategies and rule changes in reducing concussion risks.<br /><br />Dr. Duren addressed the concept of concussion subtypes, which helps in targeted treatment. He highlighted a study involving multi-dimensional rehabilitation tailored to specific concussion subtypes, which showed promising results over traditional aerobic exercises.<br /><br />The panel emphasized the clinical nature of concussion diagnosis, the nuanced interpretation of baseline testing, and the potential but currently indeterminate role of biomarkers in concussion management. They also touched upon contemporary debates, such as supplements post-concussion, indicating mixed evidence but low potential harm.

Asset Caption

Moderator: Dhiren Naidu, MD

The New SCAT6 Concussion Tool-Presenter: Ruben Echemendia, PhD, PT

Exercise and Prevention in Concussion-Presenter: Kimberly G. Harmon, MD

Concussion – Assess and Treat with Purpose-Presenter: Dhiren Naidu, MD

Concussion Panel: Dhiren Naidu, MD; Kimberly G. Harmon, MD; Ruben Echemendia, PhD, PT; Tom Mulligan, PT, ATC

Keywords

concussions

contact sports

SCAT-6

ADHD

learning disabilities

concussion prevention

exercise post-concussion

concussion subtypes

baseline testing

biomarkers

Dr. Ruben Etchemendia